Hao Xu1, Ruixing Hou2, Jihui Ju3, Yuefei Liu1, Lucheng Chen1. 1. Department of Orthopaedics, RuiHua Orthopaedic Hospital of Suzhou, 5, Tayun Road, Wuzhong, 215000, Jiangsu Province, People's Republic of China. 2. Department of Orthopaedics, RuiHua Orthopaedic Hospital of Suzhou, 5, Tayun Road, Wuzhong, 215000, Jiangsu Province, People's Republic of China. xuhaomouse2004@sina.com. 3. Department of Orthopaedics, RuiHua Orthopaedic Hospital of Suzhou, 5, Tayun Road, Wuzhong, 215000, Jiangsu Province, People's Republic of China. 38077474@qq.com.
Abstract
PURPOSE: The purpose of this study was to compare the clinical outcomes of intra-articular calcaneal fractures with medial column displacement treated with different surgical techniques, namely extensile lateral approach (ELA) or sinus tarsi approach (STA), combined with percutaneous medial reduction. METHODS: Ninety-six patients with intra-articular calcaneal fractures who were subjected to ELA or STA (45 in STA group and 51 in ELA group) were retrospectively assessed. Reduction of the posterior facet, calcaneal body, Böhler's angle, and Gissane's angle were evaluated. Clinical outcomes were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) score and visual analog scale (VAS). The complications, time to surgery, operative time, and blood loss were also assessed. RESULTS: Incidence of wound complications, post-operative blood drainage, and time to the operation were significantly different between the two groups. There was no significant difference in the recovery of calcaneal anatomy and articular surface between the two groups. Similarly, no difference was detected in Böhler's and Gissane's angles between ELA and STA groups (P > 0.05). Finally, there was no difference in AOFAS and VAS scores between the two groups at the final follow-up (P > 0.05). CONCLUSION: STA resulted in favourable radiological and clinical results with fewer wound complications and a shorter waiting time when compared to ELA. The percutaneous medial reduction technique is effective in reducing medial column displacement.
PURPOSE: The purpose of this study was to compare the clinical outcomes of intra-articular calcaneal fractures with medial column displacement treated with different surgical techniques, namely extensile lateral approach (ELA) or sinus tarsi approach (STA), combined with percutaneous medial reduction. METHODS: Ninety-six patients with intra-articular calcaneal fractures who were subjected to ELA or STA (45 in STA group and 51 in ELA group) were retrospectively assessed. Reduction of the posterior facet, calcaneal body, Böhler's angle, and Gissane's angle were evaluated. Clinical outcomes were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) score and visual analog scale (VAS). The complications, time to surgery, operative time, and blood loss were also assessed. RESULTS: Incidence of wound complications, post-operative blood drainage, and time to the operation were significantly different between the two groups. There was no significant difference in the recovery of calcaneal anatomy and articular surface between the two groups. Similarly, no difference was detected in Böhler's and Gissane's angles between ELA and STA groups (P > 0.05). Finally, there was no difference in AOFAS and VAS scores between the two groups at the final follow-up (P > 0.05). CONCLUSION: STA resulted in favourable radiological and clinical results with fewer wound complications and a shorter waiting time when compared to ELA. The percutaneous medial reduction technique is effective in reducing medial column displacement.
Authors: Tomasz L Nosewicz; Siem A Dingemans; Manouk Backes; Jan S K Luitse; J Carel Goslings; Tim Schepers Journal: Foot Ankle Surg Date: 2018-08-28 Impact factor: 2.705